0338-1123-04 — Clinimix E/dextrose (5/15) 5 % IV Soln
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CLINIMIX E/DEXTROSE (5/15) 5 % IV SOLN (NDC 0338-1123-04) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0338-1123-04?code_type=NDC
MLA (9th ed.)
“CLINIMIX E/DEXTROSE (5/15) 5 % IV SOLN (NDC 0338-1123-04) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0338-1123-04?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“CLINIMIX E/DEXTROSE (5/15) 5 % IV SOLN (NDC 0338-1123-04) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0338-1123-04?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $398–$1,166 (25th–75th percentile) across 37 hospitals · 95 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 0338-1123-04 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| GREATER BALTIMORE MEDICAL CENTER BothFacility | ALL PAYERS | ALL PLANS | $77.83 | $77.83 | $76.27 | 2026-07-01 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | United_HealthCare | Exchange | $124.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | United_Community_Plan_of_KY_ | Medicaid | — | $705.56 | $352.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | WellCare_of_Kentucky | Medicaid | — | $705.56 | $352.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $705.56 | $352.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | HMO_Medicare | — | $705.56 | $352.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Aetna_Better_Health | HMO_Medicaid | $127.00 | $705.56 | $352.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $705.56 | $352.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | Medicaid | — | $705.56 | $352.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS_Medicaid | HMO_Medicaid | — | $705.56 | $352.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS | HMO_PPO_Medicare | — | $705.56 | $352.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | United_HealthCare | Exchange | $151.00 | $665.96 | $266.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Health_First_Health | HMO_PPO | $152.00 | $665.96 | $266.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Humana | HMO_Medicare | $154.00 | $1,145.62 | $458.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Health_First_Health | HMO_PPO | $157.00 | $690.26 | $276.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | Exchange | $163.00 | $690.26 | $276.10 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Humana | HMO_Medicare | $170.00 | $1,331.02 | $532.41 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | AMPS | PPO | $174.00 | $665.96 | $266.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Health_First_Health | HMO_PPO | $176.00 | $1,034.20 | $413.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | PPO_Medicare_ | $179.00 | $690.26 | $276.10 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | United_HealthCare | Exchange | $181.00 | $1,331.02 | $532.41 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | AMPS | PPO | $181.00 | $690.26 | $276.10 | 2024-12-15 | MRF ↗ |
| UM Shore Emergency Center at Queenstown Both | — | — | — | $186.20 | $182.48 | 2025-11-05 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | United_HealthCare | Exchange | $184.00 | $1,145.62 | $458.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Private_Healthcare_Systems | PPO | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Health_First_Health | HMO_PPO | $189.00 | $828.86 | $331.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Health_First | HMO_PPO | $189.00 | $828.86 | $331.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Humana_Health_Plan | HMO_Medicare | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Humana_Health_Plan | HMO_Medicare | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Private_Healthcare_Systems | PPO | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | United_HealthCare | Exchange | $192.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Humana | PPO_Medicare_ | $193.00 | $665.96 | $266.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Centivo | PPO | $199.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Aetna | QHP_Exchange | $200.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | United_HealthCare | NHP | $202.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | United_HealthCare | Exchange | $204.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | United_HealthCare | Exchange | $205.00 | $1,034.20 | $413.68 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $214.00 | $1,304.96 | $521.98 | 2024-12-15 | MRF ↗ |
| UMD UPPER CHESAPEAKE MEDICAL CENTER Both | — | — | — | $218.88 | $214.50 | 2025-11-05 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | EXCHANGE | $216.00 | $828.86 | $331.54 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | PPO_Medicare_ | $216.00 | $828.86 | $331.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | AMPS | HMO_PPO | $217.00 | $828.86 | $331.54 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AMPS | PPO | $217.00 | $828.86 | $331.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Aetna | QHP_Exchange | $219.00 | $1,034.20 | $413.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | AMPS | PPO | $221.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | United_HealthCare | HMO_PPO | $222.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Wellcare | Medicare | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_HealthCare | Medicaid | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_HealthCare | Medicaid | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Aetna | Better_Health_Medicaid | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $223.00 | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Amerigroup | Medicare | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Wellcare | Medicare | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Amerigroup | Medicare | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Molina | Medicare | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Aetna | Better_Health_Medicaid | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $223.00 | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_Healthcare | Medicare | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Cigna_Health_Spring | Medicare | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Cigna_Health_Spring | Medicare | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Molina | Medicare | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | Exchange | $223.00 | $828.86 | $331.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | Medicare | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $710.82 | $355.41 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Humana | HMO_PPO | $229.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Aetna | QHP_Exchange | $233.00 | $1,145.62 | $458.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $234.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON Both | — | — | — | $240.92 | $236.10 | 2025-11-05 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Humana | HMO_Medicare | $239.00 | $1,145.62 | $458.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Humana | PPO | — | $1,145.62 | $458.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Florida_HealthCare_Plan | HMO_Triple_Option | $239.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Humana | HMO | — | $1,145.62 | $458.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $240.00 | $690.26 | $276.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Humana | HMO | $243.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Inpatient | Private_Healthcare_Systems | PPO | $244.00 | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Inpatient | Private_Healthcare_Systems | PPO | $244.00 | $678.56 | $339.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Health_First_Health | HMO_PPO | $246.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $249.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $250.00 | $690.26 | $276.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Aetna | QHP_Exchange | $255.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Wellcare_of_NC | Medicare_HMO | — | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Aetna | Medicare | — | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Aetna | Better_Health_Medicaid | — | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | ApexHealth_Medicare_Advantage | HMO_Medicare | — | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Humana_Health | Medicare_HMO_PPO | — | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Blue_Cross_Blue_Shield_of_North_Carolina | Medicare | — | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Alignment_Medicare | HMO_PPO_Medicare | — | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Humana_Health | PFFS_Medicare | — | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Longevity_Health_Plan | Medicare | — | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Oscar_Health_Plan_of_NC | Medicare_HMO | — | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Troy_Medicare | Medicare_HMO_PPO | — | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | United_HealthCare | Medicaid | — | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | United_HealthCare | Medicare_HMO_PPO | — | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | MedCost_Ultra | PPO | $256.00 | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Cigna_HealthCare | SureFit_EPO | $258.00 | $665.96 | $266.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $264.00 | $690.26 | $276.10 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Aetna | QHP_Exchange | $266.00 | $1,331.02 | $532.41 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | Medicare_ | $266.00 | $665.96 | $266.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Cigna_HealthCare | SureFit_EPO | $267.00 | $1,034.20 | $413.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $270.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Aetna | QHP_Exchange | $271.00 | $690.26 | $276.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $273.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | United_HealthCare | NHP | $275.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Inpatient | Humana | HMO | $276.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_HealthCare_Plan | Medicare_HMO | $276.00 | $690.26 | $276.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $279.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Aetna | QHP_Exchange | $280.00 | $665.96 | $266.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $280.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Cigna_ | HMO_PPO_POS | $280.00 | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $280.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Cigna_HealthCare | HMO_PPO | $282.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Inpatient | Republic_Health | HMO_PPO | $282.00 | $705.56 | $352.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $282.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $282.00 | $690.26 | $276.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $282.00 | $690.26 | $276.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Humana | Medicare_PFFS | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Oscar | HMO | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Aetna_of_GA | Medicare_HMO | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Cigna_Healthcare_of_Georgia | _Medicare_HMO | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Devoted | Medicare_HMO_PPO | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Trustmark_Apache_AMPS | Medicare_HMO_PPO | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $283.00 | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Aetna | HMO_Medicare | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Amerigroup_Community_Care | HMO_Medicaid | $283.00 | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Trustmark_Apache_Mills_AMPS | HMO_PPO_Medicare | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Oscar_Health_Plan_of_Georgia | HMO | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Alliant_Health | Solocare_Exchange | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Devoted_Health | HMO_PPO_Medicare | — | $2,604.79 | $1,302.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Anthem_BCBS_of_GA | _Medicare_HMO | — | $2,620.99 | $1,310.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Devoted_Health | Medicare_HMO_PPO | — | $2,620.99 | $1,310.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $284.00 | $2,620.99 | $1,310.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Cigna | _Medicare_HMO | — | $2,620.99 | $1,310.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $2,620.99 | $1,310.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Humana | HMO_Medicare | — | $2,620.99 | $1,310.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $286.00 | $665.96 | $266.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Centivo | PPO | $289.00 | $1,145.62 | $458.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | MedCost | PPO | $289.00 | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $291.00 | $788.04 | $315.22 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | GMMI | PPO | $296.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $297.00 | $690.26 | $276.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | Plotkin | International | $298.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | United_HealthCare | International | $300.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | Aetna | ASA_PPO | $300.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | United_HealthCare | HMO_PPO | $300.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | United_HealthCare | International | $301.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $302.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | United_HealthCare_of_NC | HMO_PPO | $303.00 | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | MYBLUE | $304.00 | $828.86 | $331.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Blue_Cross_Blue_Shield_of_North_Carolina | HMO_PPO | $308.00 | $427.12 | $213.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Simply_Healthcare | Medicare | — | $2,080.15 | $832.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | UPMC_Health_Plan | Medicare | — | $2,080.15 | $832.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | WellCare_of_Florida | HMO_PPO_Medicare | — | $2,080.15 | $832.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Oscar_ | EPO | — | $2,080.15 | $832.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Optimum | Medicare | — | $2,080.15 | $832.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | _Medicare_Adv_HMO_PPO | — | $2,080.15 | $832.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | Aetna | International_PPO | $310.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | UPMC | HMO_PPO | $310.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | Private_Healthcare_Systems | PPO_NR | $310.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | GMMI | PPO | $310.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | Aetna_Whole_Health | HMO_PPO | $310.00 | $476.96 | $190.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Humana | Careplus_HMO | — | $2,080.15 | $832.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | United_HealthCare | Dual_Medicare | — | $2,080.15 | $832.06 | 2024-12-15 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.